Individual provider Active NPI

Emilie Van Kooten

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1346802279
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
096633 Issued in IA
Practice address
450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone
(515) 247-8400
Fax
(515) 248-8888
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 096633 IA Primary

Addresses

Primary practice location

450 Laurel St Ste a
Des Moines, IA 50314-3045

Mailing address

450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone (515) 247-8400

Other practice location 1

710 E 1st St Ste A
Ankeny, IA 50021-2128
Phone (515) 247-8400

Other identifiers 1

IdentifierTypeStateIssuer
1346802279MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emilievankooten@tic.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718002228 IA Practitioner - Physical Therapist in Private Practice 8022343698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Orthopaedic Center PCGroup PAC ID 5597679159, 69 clinicians

Practice addresses (Care Compare)

450 Laurel St
Suite a
Des Moines, IA 50314-3045
Phone (515) 247-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096633IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC CurrentSince Jul 8, 2019 Accepting new patients
The Iowa Clinic, PC CurrentSince Jul 8, 2019 Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Feb 1, 2025 Accepting new patients
Iowa Orthopaedic Center, P.C. Current Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Feb 1, 2025 Accepting new patients

Locations

1410 SW Tradition Dr
Ste 290
Ankeny, IA 50023

710 E 1st St
Ste A
Ankeny, IA 50021

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1346802279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 E 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500212128",
            "country_code": "US",
            "telephone_number": "515-247-8400",
            "fax_number": "515-248-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN KOOTEN",
        "first_name": "EMILIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "096633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346802279",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emilievankooten@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1410 SW Tradition Dr Ste 290",
            "city": "Ankeny",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500239188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.